Individual provider Active NPI

Brookelynn McCumber, MS, BCBA, LBA

  • Behavior Analyst
  • Bloomington, MN
National Provider Identifier
1235858226
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA0563 Issued in MN
Practice address
3800 American Blvd W Ste 740
Bloomington, MN 55431-4422
Phone
(612) 925-8365
NPI assigned
Aug 24, 2022
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA0563 MN Primary

Addresses

Primary practice location

3800 American Blvd W Ste 740
Bloomington, MN 55431-4422

Mailing address

3800 American Blvd W Ste 740
Bloomington, MN 55431-4422
Phone (612) 925-8365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LBA0563MNMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Lovaas Institute for Early Intervention - Midwest, Inc. Behavior Analyst CurrentSince Nov 24, 2025 Accepting new patients
Northway Academy, Inc. PastSince Aug 1, 2022 Accepting new patients
Bloomwell Behavioral Health Inc. Behavior Analyst PastSince Mar 11, 2025 Accepting new patients

Locations

3800 American Blvd W
Ste 740
Minneapolis, MN 55431
Phone (612) 925-8365

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1235858226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 AMERICAN BLVD W STE 740",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314422",
            "telephone_number": "612-925-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 AMERICAN BLVD W STE 740",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314422",
            "telephone_number": "612-925-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUMBER",
        "first_name": "BROOKELYNN",
        "credential": "MS, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "LBA0563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.